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Major Chest Procedures without Complications

California rates for MS-DRG 165

Major Chest Procedures without CC/MCC

Rates data updated July 2026.

How much does Major Chest Procedures without Complications cost?

$56,234

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $45,709 to $60,256.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56,234 · 10th to 90th $25,704 to $69,183
$500$2K$10K$50Kfacility $56,234

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$53,703.18
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$56,234.13
Typical High
$69,183.10
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$34,673.69
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$42,657.95
Typical High
$75,857.76
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$51,286.14
Typical High
$81,283.05
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$35,481.34
Typical High
$74,131.02

Where California sits

The same service costs 3.6 times more in California than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 1st of 51

$56,234

CA $56,234NM $15,488

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.